CMS Price Transparency Data

Flu vaccine injection

Facility: Uva Health Culpeper Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $47
Cash Discount Price: $12,922
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Uva Health Culpeper Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,922. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.98x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$12,922

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)

Cash / Self-Pay: $12,922 (27011%)

Insurance Median: $47 (98%)

Cash: $12,922 (27011% of Medicare)

Ins. Median: $47 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$8 - $2,430	17%
Aetna	$10 - $49	21%
Beacon Health Options [40012]	$10	21%
Carefirst [30007]	$11	23%
Commercial Contracted Hb Only [40056]	$11	23%
Commercial Generic [40000]	$11 - $15	23%
Geha [40009]	$12 - $7,621	25%
UnitedHealthcare	$12 - $9,477	25%
Commercial Contracted Tpa [40055]	$13 - $15	27%
Veterans [99909]	$14	29%
Umwa [40037]	$15	31%
Healthsmart [40013]	$16	33%
Multiplan Generic [40035]	$16 - $18	33%
Sentara Behavioral Health [40052]	$16 - $67	33%
Sentara [40021]	$16 - $67	33%
Vhn Generic [40040]	$16 - $18	33%
First Health Generic [40033]	$17	36%
Gateway Health Alliance [40034]	$18	38%
Onenet Workers Comp Generic [60010]	$18	38%
Kaiser Permenente [40014]	$19	40%
Champva [50002]	$20	42%
Tricare	$20	42%
Blue Ridge Pace [10510]	$42	88%
Medicaid / KanCare	$42	88%
Blue Cross Blue Shield	$47 - $140	98%
HMO Part B [10099]	$47	98%
Humana	$47 - $49	98%
Medicare (plans)	$47 - $48	98%
VA Ccn [99926]	$47 - $48	98%
VA Ccn [99927]	$47 - $48	98%
Veterans Administration [99910]	$48	100%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $12,922.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0008.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uva Health Culpeper Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0008.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.